Dx sjogrens 11/2/13. diangosis ms 3/05/2001. ms ? thens?tap showed +. 1 doc thought nom labs -. sjogrens labs - lip biopsy was + 24 out of 4. i am in wheelchair. no reflexes in lower limbs. is nom possible

Do you mean NMO?: This is complex. Gather you do have sjogren's, and seems that you must have some spinal cord issues, but do you really have multiple sclerosis or neuromyelitis optica? An anti-aquaporin 4 test can help, and would just to be safe, recheck ss-a and ss-b, but also get b-12, methylmelonic acid, homocysteine, updated spinal cord mri. Suggest you get evaluated at mayo clinic.